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Delete 		PER-24 FIG. 25D illustrates one example of how the first resection feature 2264 and/or second resection feature 2266 can be configured to form a curved osteotomy and an angled curved osteotomy. In the illustrated embodiment, the first resection guide 2222 includes a first resection feature 2264 that guides a cutting tool to resect at least part of a talus 222 at a second angle. Note that the second angle may be perpendicular to the mechanical axis 880 (and parallel to a medial-lateral axis ML). The first resection feature 2264 enables a surgeon to form a curved osteotomy that can be referred to as a “straight cut”. The curved osteotomy curves within the sagittal plane 262 and extends into the bone parallel with the ML axis. 446 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 What is claimed is: 459 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 While specific embodiments and applications of the present disclosure have been illustrated and described, it is to be understood that the scope of this disclosure is not limited to the precise configuration and components disclosed herein. Various modifications, changes, and variations which will be apparent to those skilled in the art may be made in the arrangement, operation, and details of the methods and systems of the present disclosure set forth herein without departing from it spirit and scope. 458 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Recitation in the claims of the term "first" with respect to a feature or element does not necessarily imply the existence of a second or additional such feature or element. Elements recited in means-plus-function format are intended to be construed in accordance with 35 U.S.C. §112 Para. 6. It will be apparent to those having skill in the art that changes may be made to the details of the above-described embodiments without departing from the underlying principles set forth herein. 457 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Similarly, it should be appreciated that in the above description of embodiments, various features are sometimes grouped together in a single embodiment, Figure, or description thereof for the purpose of streamlining the disclosure. This method of disclosure, however, is not to be interpreted as reflecting an intention that any claim require more features than those expressly recited in that claim. Rather, as the following claims reflect, inventive aspects lie in a combination of fewer than all features of any single foregoing disclosed embodiment. Thus, the claims following this Detailed Description are hereby expressly incorporated into this Detailed Description, with each claim standing on its own as a separate embodiment. This disclosure includes all permutations of the independent claims with their dependent claims. 456 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Reference throughout this specification to "an embodiment" or "the embodiment" means that a particular feature, structure or characteristic described in connection with that embodiment is included in at least one embodiment. Thus, the quoted phrases, or variations thereof, as recited throughout this specification are not necessarily all referring to the same embodiment. 455 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Any methods disclosed herein comprise one or more steps or actions for performing the described method. The method steps and/or actions may be interchanged with one another. In other words, unless a specific order of steps or actions is required for proper operation of the embodiment, the order and/or use of specific steps and/or actions may be modified. 454 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Conventionally, correction methods, systems, and/or instrumentation for a condition such as, for example, a bunion and/or a hallux valgus, face several challenges. One example is how to cut the bone such that the cut faces have a desired angle in relation to each other. Advantageously, the present disclosure can address many, if not all, of these challenges to assist a surgeon in performing the surgical procedure and improve the quality of patient care and outcomes. 453 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Advantageously, the present disclosure provides an apparatus, system, and/or method that can remediate a condition in a patient's foot. Those of skill in the art will appreciate that the methods, processes, apparatuses, systems, devices, and/or instruments of the present disclosure can be used to address a variety of conditions in a variety of procedures and/or parts of the body of the patient. 452 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Advantageously, because the present disclosure uses a bone model of the patient’s bones the sizes, dimensions, lengths and configurations of the components of the example systems can each be changed, adapted, revised, and/or customized to meet the needs and/or preferences of the patient and/or surgeon. Advantageously, using the apparatus, systems, and/or methods of the present disclosure the surgeon may have a preoperative plan that identifies which specific bone screw (length, width, diameter, thread, pitch, etc.) to use for the fasteners. 451 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Those of skill in the art will appreciate that embodiments of the system disclosed herein can be used on humans and animals and on bones that are relatively small in comparison to other bones of the body (e.g., bones of the foot and hand). Advantageously, the embodiments of the system seek to minimize the number of fasteners or pins placed within the bones of a patient by planning a surgical procedure such that pins or fasteners placed in one stage are and/or can be reused in subsequent stages. Consequently, pins initially deployed can remain in the bone or bone fragment as instruments are deployed and/or subsequent stages of the surgical procedure are performed. 450 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 FIG. 25E illustrates that a first angle and second angle can be selected, determined, and defined (e.g., using bone models of the patient) such that reduction of the curved osteotomy and the angled curved osteotomy remediates a deformity of the patient. Note that in comparing FIGs. 25D to 25E, the alignment and/or position of the calcaneus 224 has been changed and the calcaneus 224 has been translated more in line with the mechanical axis 880 of the tibia 226. A first dome osteotomy (i.e., curved osteotomy) and a second dome osteotomy (i.e., angled curved osteotomy) have been brought together to provide a deformity correction. Those of skill in the art will appreciate that forming the curved osteotomy and/or the angled curved osteotomy without the aid of the first resection guide 2222 and/or second resection guide 2224 may have required resection of the bone(s) by manual free-hand. Advantageously, the reduction and subsequent fusion using the first resection guide 2222 and/or second resection guide 2224 can result in a more satisfactory fusion of an ankle joint. 449 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 In one embodiment, FIG. 25E illustrates a stage in which a first resection guide 2222 and a second resection guide 2224 have been removed. A curved osteotomy (e.g., first osteotomy) has been formed at or near a proximal end of the talus 222 and an angled curved osteotomy (e.g., second osteotomy) has been formed at or near a distal end of the tibia 226. The curved osteotomy and the angled curved osteotomy are reduced at the resection interface 884. Advantageously, a minimal amount of bone of the talus 222 and/or the tibia 226 has been removed and a stable, complete reduction is achieved. Note reference features, fixation pins, permanent and/or temporary fixation is omitted from the view in FIG. 25E but may be included in certain embodiments and/or may be added to hold the reduction place for healing and fusion. 448 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 In the illustrated embodiment, the second resection guide 2224 includes a second resection feature 2266 that guides a cutting tool to resect at least part of a tibia 226 at a first angle. Note that the first angle is not perpendicular (i.e., the first angle is oblique) to the mechanical axis 880 (and to a medial-lateral axis ML). The second resection feature 2266 enables a surgeon to form an angled curved osteotomy that can be referred to as an “angled cut”. The curved osteotomy curves within the sagittal plane 262 and extends into the bone at an angle in relation to the ML axis. 447 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Either or both of the resection guides 2220 of osteotomy system 2200 can include some or all of the same or substantially the same features, aspects, alternatives, and/or components as other example resection guides described herein with like components including the same or similar reference numerals. Accordingly, the resection guide 2222 can or may include a first resection feature 2264, a second resection feature 2266, one or more bone attachment features 2228, one or more bone engagement features 2230, one or more alignment guides 2274, one or more shafts 2278, one or more openings 2276, one or more resection guards 2270 (not shown), one or more fastener guides 2290 (not shown), and the like. The bone engagement features 2230 may include one or more bone engagement surfaces 2232. Alternatively, or in addition, either or both of the resection guides 2220 can include one or more stabilizers 2292 and one or more sights 2294. 432 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 Alternatively, or in addition, a curved osteotomy 2500 can be formed by configuring the first resection feature 2264 such that the opening(s) (e.g., curved slot and/or plurality of openings) that extend through the body 2302 do so at a second angle. The second angle can be configured based on a bone model of one or more bones of the patient. The second angle of the opening(s) in the first resection feature 2264 guide a cutting tool to form a curved osteotomy 2500. 445 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 In one embodiment, the angled curved osteotomy 2502 is formed by configuring the second resection feature 2266 such that the opening(s) (e.g., curved slot and/or plurality of openings) that extend through the body 2402 do so at a first angle. The first angle can be configured based on a bone model of one or more bones of the patient. The first angle of the opening(s) in the second resection feature 2266 guide a cutting tool to form an angled curved osteotomy 2502. 444 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 In one embodiment, FIG. 25D illustrates a stage in which a first resection guide 2222 and a second resection guide 2224 have been removed. A curved osteotomy 2500 (e.g., first osteotomy) has been formed at or near a proximal end of the talus 222 and an angled curved osteotomy 2502 (e.g., second osteotomy) has been formed at or near a distal end of the tibia 226. 443 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 In one embodiment, FIG. 25C illustrates a stage in which a second resection guide 2224 is positioned on a lateral side of the ankle. The second resection guide 2224 can be secured using one or more common pins that were used for the first resection guide 2222 and/or new pins may be deployed to secure the second resection guide 2224. In one embodiment, pins for bone attachment features 2228 in the tibia may be deployed using the bone attachment features 2228 at an angle that ensures that the second resection guide 2224 is securely coupled to the bone(s). In the illustrated embodiment, the second resection guide 2224 is positioned to resect a portion of an end of the tibia 226 in preparation for an ankle fusion. Next, a surgeon may form a second osteotomy, such as an angled curved osteotomy 2502. The angled curved osteotomy 2502 formed in the bone(s) may not be perpendicular to a mechanical axis 880 of the tibia 226. 442 Added by DJM Jan 2024 1/6/24, 10:01 PM
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Delete 		PER-24 FIG. 25B illustrates the ankle joint after formation of a curved osteotomy and removal of the first resection guide 2222. In one embodiment, certain pins for bone attachment features 1828 such as those for the tibia 226 may remain in the bone. FIG. 25B illustrates that the curved osteotomy 2500 has been formed on or near a superior surface of the talus 222. Alternatively, the curved osteotomy 2500 can be formed along a length of tibia 226 and/or talus 222. In certain embodiments, this curved osteotomy 2100 can be used for, or by, other instruments during the surgical procedure. 441 Added by DJM Jan 2024 1/6/24, 10:01 PM

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